Implanted Portsenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_02_2.jpgAn implanted port is a type of central line that goes up to a vein near the heart or just inside the heart. A child can get medicine, fluids, blood, or nutrition through one.port-a-cath,central line, central lives, IV, intravenous, chemo, port a cath, central venous catheters, line, external lines, medi-port, Broviacs, hickmans, subcutaneous line, caring for a port, caring for a line, IV, intravenous medicine, CD1Pathology, CD1Sedation12/30/201901/06/202001/06/2020Amy W. Anzilotti, MD01/01/2020e3c3f7a9-5058-4c70-8186-221b079809c6https://kidshealth.org/ws/RadyChildrens/en/parents/implanted-ports.html/<h3>What Are Implanted Ports?</h3> <p>An implanted port is a type of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/central-lines.html/">central line</a>. A central line (also called a <strong>central venous catheter</strong>) is like an <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/intravenous-line.html/">intravenous (IV) line</a>. But it is much longer than a regular IV and goes all the way up to a vein near the heart or just inside <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/heart.html/">the heart</a>.</p> <p>A patient can get medicine, fluids, blood, or nutrition through a central line. It also can be used to draw blood.</p> <h3>How Does an Implanted Port Work?</h3> <p>An implanted port starts under the skin on the chest (you can see and feel its raised center). The port connects to a catheter (thin, hollow tube) that is threaded into a large vein near or just inside the heart. The port and the catheter are all under the skin.</p> <p><img class="center_this" title="An implanted port shown under a child's skin near the heart." src="https://kidshealth.org/EN/images/illustrations/impantedPort-415x233-rd8-enIL.png" alt="An implanted port shown under a child's skin near the heart." /></p> <p>Health care providers put a needle into the port to give treatments or draw blood. This is easier and less painful than a typical needle stick. Using a numbing cream or spray on the skin can ease discomfort.</p> <p>Types of ports include <strong>port-a-caths</strong> and <strong>medi-ports</strong>.</p> <h3>When Are Implantable Ports Used Instead of Regular IV Lines?</h3> <p>Doctors might use an implanted port (or other central line) instead of a regular IV line because:</p> <ul class="kh_longline_list"> <li>It can stay in place longer (up to a year or even more).</li> <li>It makes it easier to draw blood.</li> <li>Patients can get large amounts of fluids or medicines (like <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/chemotherapy.html/">chemotherapy</a>) that might not go through regular IVs.</li> </ul> <p>Doctors may place an implantable port (or other central line) for someone who:</p> <ul> <li>has a serious infection so they can get IV antibiotics for a few weeks</li> <li>has <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/center/cancer-center.html/">cancer</a> so they can get chemotherapy and blood tests through the line</li> <li>needs IV nutrition</li> <li>will need many <a class="kh_anchor">blood transfusions</a></li> </ul> <h3>How Is an Implanted Port Placed?</h3> <p>Before the port is placed, your child will get medicine to relax and not feel pain.&nbsp;</p> <p>To place the port, a doctor will:</p> <ol class="kh_longline_list"> <li>Clean and numb the skin where the port will go.</li> <li>Make two small cuts in the skin.</li> <li>Thread the catheter into a vein in the chest using ultrasound to guide where the line goes.</li> <li>Thread the line into a large vein near the heart or just into the heart.</li> <li>Check the placement of the line with an <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/xray-exam-chest.html/">X-ray</a>.</li> <li>Place a dressing (a type of bandage) over the area.</li> </ol> <h3>Are There Risks to an Implanted Port?</h3> <p>There are some risks to all ports, but most don't cause problems. If problems do happen, it is usually because the port gets infected or stops working. Very rarely, a port can cause a blood clot. Doctors review the risks with families before placing the port.</p> <h3>When Should I Call the Doctor?</h3> <p>Call your doctor if your child has:</p> <ul> <li>redness or swelling where the port is</li> <li>new or worse pain where the port is</li> <li>fluid or pus coming from the port area</li> <li>a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/fever.html/">fever</a></li> </ul> <h3>How Can Parents Help?</h3> <p>After the skin over the port heals, the area doesn't need special care. Kids can go to school and do most regular activities. They can swim and bathe normally. Check with your health care team about:</p> <ul> <li>which physical activities are OK for your child (most kids need to avoid rough play and contact sports)</li> <li>how often the port needs to be flushed by a nurse (usually about every 4 weeks)</li> </ul> <p>Tell your child's teachers, school nurse, counselor, and physical education teacher about the port. They can make sure your child avoids any activities that may damage it, and help support your child during treatment.</p>
Blood TransfusionsAbout 5 million people a year get blood transfusions in the United States. This article explains why people need them and who donates the blood used.https://kidshealth.org/ws/RadyChildrens/en/teens/transfusions.html/e62b4115-02ec-45e0-bab3-ab6097ba1f4d
Central Lines (Central Venous Catheters)A central line, or central venous catheter, is much longer than a regular IV. Doctors use them to give medicine, fluids, blood, or nutrition to patients.https://kidshealth.org/ws/RadyChildrens/en/parents/central-lines.html/755fce5f-180c-4322-ad62-11b13ad4b2b3
ChemotherapyChemotherapy (chemo) is treatment with medicines that stop the growth of cancer cells. Find out how chemo works and what to expect when getting treatment.https://kidshealth.org/ws/RadyChildrens/en/teens/chemo.html/b1fad704-4636-43f9-bafb-fa789cf4ef8c
Peripherally Inserted Central Catheter (PICC Line) A PICC line is like an IV line, but is much longer and can stay in place for longer periods.https://kidshealth.org/ws/RadyChildrens/en/parents/picc-lines.html/cc250ea3-f29c-4fec-b724-3b7c03a9b3a9
Tunneled Central LinesThese surgically placed tubes let kids get blood drawn and receive intravenous (IV) medicines and fluids without repeated needle sticks.https://kidshealth.org/ws/RadyChildrens/en/parents/cv-catheters.html/93bc55aa-2ad3-4f9f-a3fd-68ff948e767c
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-intensiveCarekh:clinicalDesignation-oncologykh:genre-articlekh:primaryClinicalDesignation-oncologyMedical Procedureshttps://kidshealth.org/ws/RadyChildrens/en/parents/system/med-procedures/fa1ed819-e226-441d-aae1-0dfd71b557c4Cancer Treatment & Preventionhttps://kidshealth.org/ws/RadyChildrens/en/parents/cancer-center/treatment/9b82611a-8da8-4937-991c-407024862b68https://kidshealth.org/EN/images/illustrations/impantedPort-415x233-rd8-enIL.png